Individual provider · Type 1 NPI

Tracy Gonzalez

Mental Health Counselor · Los Angeles, CA

NPI number 1861067704 Active

Practice location

1721 Griffin Ave
Los Angeles, CA 90031-3312

Call (323) 221-4134 Map

Fax (323) 221-3231

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X99763 (CA)
Mental Health Counselor Primary 101YM0800X99763 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1861067704

Tracy Gonzalez's National Provider Identifier is 1861067704, issued on May 24, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 24, 2021.